| NPI | 1144303587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: NY F380436) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 253734) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2008-09-30 |